The document discusses targeted drug delivery systems and their molecular basis. It describes various types of targeted delivery such as ligand-driven receptor mediated delivery and active targeting using carriers with ligands. The key components of targeted delivery systems are described, including carriers to protect and deliver drugs to targets. Methods of targeting include passive targeting of tissues as well as active targeting of cells and intracellular sites using ligands that bind to receptors to direct delivery.
‘Targeted drug delivery system is a special form of drug delivery system where the medicament is selectively targeted or delivered only to its site of action or absorption and not to the non-target organs or tissues or cells.’
This presentation which highlights the various technology innovations and developments in targeted drug delivery as well as maps its applications in different therapeutic segments was presented at the Novel Drug Delivery Systems and Clinical Trial Management 2013 Conference at Shangai, China.
NANOTECHNOLOGY comprises technological developments on the nanometer scale, usually 0.1 to 100 nm. Nanotechnology, the science of the small. Nano is Greek for dwarf, and nanoscience deals with the study of molecular and atomic particles.
‘Targeted drug delivery system is a special form of drug delivery system where the medicament is selectively targeted or delivered only to its site of action or absorption and not to the non-target organs or tissues or cells.’
This presentation which highlights the various technology innovations and developments in targeted drug delivery as well as maps its applications in different therapeutic segments was presented at the Novel Drug Delivery Systems and Clinical Trial Management 2013 Conference at Shangai, China.
NANOTECHNOLOGY comprises technological developments on the nanometer scale, usually 0.1 to 100 nm. Nanotechnology, the science of the small. Nano is Greek for dwarf, and nanoscience deals with the study of molecular and atomic particles.
Brief description of targeted drug delivery system, along with its concept and strategies for drug targeting. Advantages and disadvantages of drug targeting
Need for drug targeting.
Targeted Drug Delivery Systems:
Targeted drug delivery systems (TDDS) are a revolutionary approach in medicine that aims to deliver medications directly to diseased cells or tissues, minimizing exposure to healthy parts of the body. This strategy offers numerous advantages over traditional drug delivery methods, including:
Reduced side effects: By minimizing drug exposure to healthy tissues, TDDS can significantly reduce the risk of adverse reactions and improve patient tolerability.
Increased efficacy: Delivering drugs directly to their target site allows for higher drug concentrations at the diseased area, potentially leading to improved treatment outcomes.
Enhanced specificity: TDDS can be designed to target specific biomarkers associated with diseases, offering greater precision and personalized treatment options.
Here's a closer look at the key components and mechanisms of TDDS:
Components:
Drug: The therapeutic agent encapsulated within the delivery system.
Carrier: A biocompatible material that encapsulates and protects the drug, facilitating its transport and release. Examples include liposomes, nanoparticles, and polymers.
Targeting moiety: A molecule attached to the carrier that specifically binds to receptors on the target cells or tissues, guiding the delivery system to its designated location. Antibodies, peptides, and aptamers are commonly used targeting moieties.
Mechanisms:
Passive targeting: Utilizes the natural properties of the carrier or targeting moiety to accumulate in the target area due to factors like size, charge, or permeability.
Active targeting: Employs specific interactions between the targeting moiety and receptors on the target cells, ensuring precise delivery.
Types of TDDS:
Liposomal drug delivery: Liposomes are microscopic bubbles made of phospholipids that can encapsulate drugs and deliver them to specific cells.
Polymeric nanoparticles: Nanoparticles made of biodegradable polymers can be designed to release drugs in a controlled manner at the target site.
Antibody-drug conjugates (ADCs): Antibodies are linked to cytotoxic drugs, allowing them to specifically target and kill cancer cells.
Aptamer-based drug delivery: Aptamers are short, single-stranded DNA or RNA molecules that can bind to specific targets with high affinity, guiding drug delivery.
Benefits of TDDS:
Improved treatment outcomes
Reduced side effects
Enhanced patient compliance
Personalized medicine options
Challenges of TDDS:
Complex design and development
Regulatory hurdles
Higher costs compared to traditional drugs
Future of TDDS:
Research in TDDS is rapidly advancing, with new technologies and targeting strategies emerging constantly. The future holds promise for even more precise and effective drug delivery systems, revolutionizing the treatment of various diseases.
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Molecular basis of targated drug delivery system chatap
1. 1
MOLECULAR BASIS OF
TARGATED DRUG
DELIVERY SYSTEM
Presented by:
Chinchole Pravin Sonu
(M.PHARM 2nd SEM)
DEPARTMENT OF PHARMACEUTICS & QUALITY ASSURANCE
R. C. Patel Institute of Pharmaceutical Education and Research,
shirpur.
2. 2
Introduction
Reasons for site specific drug delivery
Anatomy & Physiology Of Cell
Types Of Blood Capillaries
Anatomical & Physiological considerations For Targeting
Ideal Characteristics Of DDTS
Components Of DDTS
Levels Of Drug Targeting
Ligend driven receptor mediated drug delivery
Future perspective
Conclusion
References
2
3. 3
The concept of targeted drug delivery system given
by “Paul Ehrlich”.he proposed drug delivery as a
“magic bullet”.
Targeted drug delivery implies for selective and
effective localization of pharmacologically active
moiety at preselected target(s) in therapeutic
concentration.
It restrict the entry of drug in non-targeted cells,thus
minimizing toxic effects.
4. Targeting is signified if target compartment is distinguished
from other compartment.
4
Target siteNon target
site
Affinity -
toxicity
No affinity-
low effect
Bio-environmental factors
Target site Non target
site
Inactivation/
Less
therapeutic
effect
More
therapeutic
effect
No affinity-
low effect
Targeted
effect
Drug Drug in carrier
5. 5
Reasons For Site-Specific Drug Delivery
Properties Factors
Pharmaceutical Solubility
Drug stability
Biopharmaceutical Low absorption
Pharmacokinetic &
pharmacodinemic
Short half-life
Large volume of distibution
Low specificity
Clinical Low therapeutic index
Anatomical & cellular barrier
8. 8
Types Of Blood Capillaries
(1) Continuous capillary (as found in the general circulation). The endothelium is continuous
with tight junctions between adjacent endothelial cells. The subendothelial basement
membrane is also continuous.(particle size should be <10nm)
(2) Fenestrated capillary (as found in exocrine glands and the pancreas). The endothelium
exhibits a series of fenestrae which are sealed by a membranous
diaphragm. The subendothelial basement membrane is continuous.
(3) Discontinuous (sinusoidal) capillary (as found in the liver, spleen and bone marrow). The
overlying endothelium contains numerous gaps of varying size. The subendothelial basement is
either absent (liver) or present as a fragmented interrupted structure (spleen, bone marrow)
10. 10
Lymphatic System
Solid tumors lack lymphatic system,so the macromolecules drugs
enters tumor interstitium by extravasation & remain there,known as
EPR effect.
11. 11
Anatomical & Physiological considerations For Targeting
Phagocytic uptake by the cells of the mononuclear phagocyte
systems (MPS; also sometimes known as the reticuloendothelial
system, RES)
• fixed cells: macrophages in liver (also known as Kuppfer cells),
spleen, lung, bone marrow and lymph nodes
• mobile cells: blood monocytes and tissue macrophages
MPS System
Factors Affecting MPS Clearance
1. Particle size :
2. Particle charge :
3. Surface hydrophobicity : Hydrophobic particles rapidly taken up by MPS system.
Particulates in the size range of 0.1−7 μm tend to be cleared by the
MPS, localizing predominantly in the Kuppfer cells of the liver.
Negatively charged vesicles tend to be removed relatively
rapidly from the circulation whereas neutral vesicles tend to
remain in the circulation for longer periods.
12. 12
• specifically target the drug to target cells or target tissue;
• keep the drug out of non-target organs, cells or tissue;
• ensure minimal drug leakage during transit to target;
• protect the associated drug from metabolism;
• protect the associated drug from premature clearance;
• retain the drug at the target site for the desired period of time;
• facilitate transport of the drug into the cell;
• deliver the drug to the appropriate intracellular target site;
• Should be biodegradable and non-antigenic.
Ideal Characteristics Of DDTS
13. 13
Components Of DDTS
DDTS Component Purpose
The active moiety To achieve the therapeutic
effect
The carrier system, which can
be either soluble or
partaculate
To effect a favorable
distribution of the drug
To protect the drug from
metabolism
To protect the drug from early
clearance
A “homing device” To specifically target the drug
to the target cells or target
tissue
14. Carriers are the drug vectors which protect,transport
and retain drug “an route” and deliver it to target
site.
It must be able to cross anatomical barriers.
It must be recognized selectively by target cell.
Carrier should be non-toxic,non-immunogenic,
biodegradable particulate.
After internalization carrier should release the drug
moiety inside target organ.
Extravasation and Passive delivery 14
Carriers
Ideal characteristics of carrier
15. 15
Carrier System Used For Targeted Drug Delivery
Colloidal Carriers 1)Vesicular system:
liposomes,niosomes,virosomes,immunoliposomes
2)Microparticulate system:
microspheres,nanoparticles
Cellular carriers Resealed erythrocytes,serum
albumin,antibodies,platlets,leukocytes
Supramolecular
delivery
Micelles,reverse micelle,liquid crystals,lipoprotein
(VLDL,LDL)
Polymer based
delivery
Muco-adhesive,biodegradable,bioerodible,soluble
synthetic carriers
Macromolecular
carriers
1)proteins,glycoprotein,neo-glycoprotein
2)Mabs
3)Polysaccharides
16. Targeting occurs because of the body’s
natural response to the physiological
characteristics of the drug-carrier system.
colloidal carriers are taken up by RES in liver &
spleen.
:extravasation is poor with
microparticulate system.
16
Levels Of Drug Targeting
Macrophage related infected cell lines Drug proposed for
encapsulation
INTRACELLULAR PARASITES:
Leismaniasis,Brucellosis, Candidiasis
Antimalarial &
Antiinfective
NEOPLASM: lukemia,hodgkin’s disease,viral
infected disease
Cytotoxic & antiviral
drugs
Disadvantage
Passive Targeting
17. It is based on successful attempts to avoid passive
uptake of colloidal carrier by reticuloendothelial
system.
Phospholipid microsphere emulsified with poloxamer
338 showed the lowest RES uptake in mouse. 17
Inverse Targeting
Inverse Targeting
Pre injection of blank
colloidal carrier
Change in size,surface
charge,hydrophilicity of carrier
Blockade of RES
Methods For Inverse Targeting
18. The natural distribution pattern of the drug carrier
composites is enhanced using chemical,biological
& physical method.
Active targeting devided in two types:
1)Ligand mediated targeting
2)Physical targeting 18
Active Targeting
Active Targeting
First order targeting Second order targeting Third order targeting
Organ targeting Cellular targeting Intracellular targeting
pH sensitive
Temperature sensitive
19. Drug targeting employs carrier molecules,which have their
own effectthus synergies the active ingradient effect.
Targeting can be achieved via physical(pemeation
enhancer),chemival(prodrug),or carrier encapsulation
19
Dual Targeting
Double Targeting
Controlled release of drug
Sustained release
Stimuli responsive release
Self-regulating release
Drug targeting
Active/passive
targeting
Double
targeting
Combination Targeting
20. Rapid clearance of targeted systems specially
antibody targeted system.
Immune reactions against intravenous administered
carrier system.
Problems of insufficient localization of targeted
systems into tumour cells.
Down regulation of surface epitopes.
Diffusion and Redistibution of released drug
leading to no-specific accumulation.
20
Problems Associated With Targeted Drug Delivery System
21. Cell Surface Biochemistry & Molecular Targets
21
Distinctive cellular elements present on the surface of the
target cells are important for targeting.
• Cell surface antigen
• Cell specific antibodies
• Cell surface receptors
Types of receptors present on
biocell,
• lectin like receptors
• Monoclonal antibody
• Hormone
• MHC-1
Receptor as drug delivery
22. 22
Ligand As Drug Delivery
Types of ligand internalized via receptor mediated
endocytosis.
1. The endogenously produced ligands may compete with
exogenously delivered ligand.
2. Ligands may elicit immunological response.
3. Bind to multi receptor types.
Endogenous
ligand
Immunological
ligand
Glycoconjugate Antibodies
Transferin Interferons Glycolipid Haptens
Folate MHC-peptides Glycosides Mabs
Lipoprotein Interlukins Polysaccharides Immunotoxins
Limitations of natural ligands
23. LIGAND DRIVEN RECEPTOR MEDIATED
DRUG DELIVERY
Endocytosis:
(1) Recognition: Coating mediated by blood components
(2) Adhesion: Attachment of ligand to macrophage cells of
RES
(3) Digestion: Particle transfer to phagosome,phago-
lysosome,digestive vacuoles.
Cellular Processes
23
25. Three internalization mechnisms have been proposed:
1. Fluid phase pinocytosis
2. Adsorptive,receptor mediated pinocytosis
3. Adsorptive,non-receptor (diffusive)mediated pinocytosis
Clathrin is vesicular coat proteins mediate internalization
of receptor-ligand complex
They concentrate carriers & receptors in the vesicles.
They serve to transport & target vesicles from the donor
compartment to appropriate destinations.
25
Receptor Madiated Endocytosis
Clathrin Coated Endocytosis
Functions
26. Clathrine Independent Endocytosis
26
It involve the component of cytoskeleton.
Caveolae are coated investigations of plasma
membrane,they do not separate from the plasma
membrane,known as “POTOCYTOSIS”
Folate undergo potocytosis.
Clathrine coated
pinocytosis
Non clathrine
coated
micropinosomes
phagosome
27. Ligand Mediated Transcytosis
receptor-mediated pinocytosis,
the endosomes carrying the
drug actually bypass the
lysosomes and migrate toward
the basolateral membrane,
resulting in the release of the
undegraded drug into the
extracellular space bounded by
the basolateral membrane. This
process, known as transcytosis,
represents a potentially useful
and important pathway for the
absorption of high molecular
weight drugs such as peptides
and proteins.
27
28. 28
INTRACELLULAR DISPOSITION OF DRUG-CARRIER COMPLEX
Receptor Recognition & Ligand-Receptor Interaction
Cell Specific Recognition of Carrier
Binding Of Drug Conjugate
Intracellilar release
Cellular Retention
Endocytosis
Influence By Proteine
Kinase C
29. 29
Intracellular Complex Of Ligand-Receptor complex
Ligand-Receptor Complex
Transported In Endosome Vesicles
Receptor Ligand
Transported To Cell Surface
Lisosome
30. 30
Delivery Of Drug-Carrier complex To Acidic Endosomal & Lisosomal
Compartment
“Lysomotropic Approach”
Vesicle Shunt Model Assumes that early & late endosomes are pre-
existing compartments that communicate through
vesicle-mediate transport
Maturation model Assumes that early endosomes mature gradually into late
endosomes
Delivery Of Drug-Carrier complex To Cytosolic Compartment
Ligand degradation by lysosomal pH decrease by Ammonium Chloride which
neutralise acidic pH of lysosome
Various methods available to target cytosole by exposing the vesicle to adenovirus
& immunotoxins which degrade endosomal vesicles & deliver the content to
cytosol.
31. The innovation in this field of research on the targeted drug
delivery in the coming years would be a shift from “receptor to
nucleus”.
This site-specific delivery rotate towards the gene delivery to
nucleus.
31
Future Perspective
•In the early days of the 20th century, Paul Ehrlich developed his
“magic bullet” concept: the idea that drugs reach the right site in
the body, at the right time, at the right concentration. It should not
exert side-effects, neither on its way to the therapeutic target, nor at
the target site, nor during the clearance process.
•they are indicated for the treatment of life-threatening diseases
like cancer, and severe infectious diseases.
Conclusion
32. 1. Vyas s. p.,Khar r. k., 2010, ‘Molecular Basis Of
Targeted Drug Delivery’ Targeted & Controlled
Drug Delivery System, 6th Edition, CBS Publishers
& Distributors,New Delhi,Page no:38-80
2. Hillery m.,Lloyd w.,2005, ‘Advanced Drug
Delivery and Targeting: An Introduction’Drug
Delivery & Targeting, 3rd Edition, Taylor & Francis
Inc,29 West 35th Street, New York,Page no:56-71
3. Banker s. g.,Rhodes t. c.,2002, ‘Target Oriented
Drug Delivery System’Modern Pharmaceutics,4th
Edition,United States Of America,Page no:531-580
32
REFERENCES
34. 34
Particulates in the size range of 100 nm to 7 μm
are prone to be cleared by the MPS, especially by the fixed Kupffer cells
in the liver.
In the case of biomacromolecules such as oligonucleotides, proteins,
RNA, and DNA,7 the delivery system often needs to transfer the payload
across the plasma membrane either by fusion or by endocytosis.7,14
If taken up by the cells via endocytosis, the macromolecule later must
be released from the endosome into the cytoplasm to avoid degradation
in the lysosomes. In the case of gene delivery, DNA must further relocate
from the cytoplasm into the nucleus to direct the expression of the
gene products.
the delivery of high-molecular-weight hydrophilic molecules
across biomembranes is one of the most challenging problems
facing the pharmaceutical community.
If the target is the vascular endothelial cell layer, the delivery system can
reach the target site readily via the blood circulation. To reach other tissues
such as hepatocytes and cancer cells in solid tumors, the carrier
needs to extravasate through the endothelial capillaries and diffuse to
the target site. The endothelial cells that outline the capillaries enforce
an upper size limit of about 100 nm if the delivery system is to reach
the extravascular tissues.
35. 35
Clearance by the MPS involves two
steps. First, plasma proteins called opsonins adsorb onto the “foreign surface”
of a particulate; second, the macrophages recognize the opsonsincovered
particles and initiate phagocytosis. Particles with hydrophobic
surfaces are recognized immediately as “foreign,” covered by the
opsonins, and taken up by macrophages.
Surface hydrophobicity
if a delivery system is to be targeted to other cell types, its
interaction with the MPS must be minimized. The standard approach
is to coat the surface of the system with hydrophilic materials to reduce
opsonin adsorption.
The natural tendency of macrophages to uptake the lipidic particulates was
exploited in a number of MPS targeting liposome formulations.30 The
potential therapeutic benefits of such liposomes include the treatment of
macrophagerelated microbial, viral, or bacterial infections; the
immunopresentation of vaccines; potentiation of the immune system using
a macrophageactivating agent such as interferon-g ; and treatment of
lysosomal enzyme deficiencies.
36. 36
The surface charge of a drug carrier also plays an important role in its
pharmacokinetic behavior. For liposomes, it has been shown that a neutral
surface charge is optimal for a long circulation time.33 Liposomes
with a negative charge tend to be cleared more rapidly from the circulation
by the Kupffer cells in the liver.34 Positively charged particulates
rapidly absorb negatively charged plasma proteins in the blood circulation
and are recognized as foreign objects by the immune system.35
Charge